National Association of Insurance and Financial Advisors-Florida - Agent Political Involvement Committee (APIC) Key Contact Form

With all of the upcoming legislative battles on both a state and national legislative level, it is imperative that we identify NAIFA-Florida members that have close relationships with all of our legislative leaders to serve as their key contacts. During the legislative session, we may need your help with important issues that could affect your clients and your profession.

Question Title

* 1.
Please list the name, legislative title and district of any Florida representative, senator, or Florida congressman or women you have a close business or personal relationship with. (Please complete a separate form for each key contact.)

Question Title

* 2.
Please describe your relationship:

A. Close personal friend or relative -- neighbor, went to school together, active in campaign, personal clients, etc.

B. Business or personal associate -- campaign contributor, belong to the same civic social or fraternal group, mutual friend, etc.

C. Constituent -- Casual personal or business acquaintance.

Other, please specify

Question Title

* 1. Please list the name, legislative title and district of any Florida representative, senator, or Florida congressman or women you have a close business or personal relationship with. (Please complete a separate form for each key contact.)

Question Title

* 2. Please describe your relationship:

Question Title

* 3. Please list your name, local association, your email address and the best phone number to reach you.

* 1.
Please list the name, legislative title and district of any Florida representative, senator, or Florida congressman or women you have a close business or personal relationship with. (Please complete a separate form for each key contact.)

* 2.
Please describe your relationship:

* 3.
Please list your name, local association, your email address and the best phone number to reach you.